HomeMy WebLinkAbout2694 oecla~atfo~ ot Oomicile and Citizenship ~
163~231
TO THE STATE AND COUNTY TAX ASSESSOR,
51. tUCIE COUNTY, FIORIDA:
This is my decla~ation of Domicile and Litizenship in the State of Flocida that 1 am filing this day in aoo~rdanoe and ~
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was forme~ly a legal reside~t of Wa t t k~ t t _ Ner Yerlr
(City) (State)
and I ~esided at - K_ ~~.~~.x ~ Sb ~ However 1 have chsnysd my domiGle
(Street and Number)
4
to and am and have en ~bona fide resident of the State of Ftorida since lst day of i
Auril__ , 19___6_Z, and I reside at 11~2 Ss~inc~_]_s D=~.~. - `
(Street and Number)
FORT PIERCE, SAINT lUC1E COUNTY, RORIDA
and this statement is to be taken as my declaration of citiZenship, actual Icyal residents and domicile in the State of Horida.
(Insert here any pertinent facts, such as sale of property or busineu, or relinquishme~t of employmant
at former domicile, removal of family to new domicite, purchase of home, ett.)
~stablish ~esidency for homestead purposes
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FILED AND RECOROED
ST. LUCIE COUNTY. FLA.
r~f.COr~.D l~Er~IFIEO
~ 163231
'68 J4FJ 3 AM 11:59
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~ ~f 1 (2.~. j ,
' CLERK.CIRCUIT COURT
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1 RIRTHER CERTIFY that I will eomply with all other requirements of a Iagal resident of this State. !
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1 FURTHER CERTIFY that I have no intention to retum to my former domici~e, and I intend to remain in FORT i
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PIERCE, SAIN!T lUC1E COUNTY, FLORIDA, permanently. ;
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Fred G. ~iii~s ;
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~li et~o?ddress) ~
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rks ~
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'"J ~Siwoui td and.wbsaibed befo~e me this 3rd day of Janu~r_y . 19~$. ~
, :~::i _ _
. ' ~ ROG~ PE~l~RAf ,
~ C~~~ Notary Public
t~• - .
gy • D.C. My Commiuion expires
(To b~ ~x~evbd in dupucatw and ori~inal fil~d wi~h Cl~elc Grwi~ Courf, ~nd dupliea» with Tax Aa~.)
B~K 1by P~ 26 r5 {
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